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MR. CHRISTOPHER RYAN JOLLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
2307 GORDON COOPER DR, SHAWNEE, OK 74801-9007
(405) 395-9303
(405) 395-9305
Mailing address
25 CHICKASAW DR, SHAWNEE, OK 74801-5549
(405) 395-9303
(405) 395-9305

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
D6268723
OK

Other

Enumeration date
04/22/2009
Last updated
05/11/2009
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